Methodology for Developing Rapid and Living Guidelines of Traditional Chinese Medicine (RALIG-TCM) (Part 3): Rapid Evidence Collection, Integration and Recommendation Formation
- VernacularTitle:中医药快速动态指南制定方法(三)
- Author:
Ziteng HU
1
;
Lijiao YAN
1
;
Yujing ZHANG
1
;
Yaxin CHEN
1
;
Xiaoling LI
2
;
Haili ZHANG
1
;
Huizhen LI
1
;
Jingya WANG
3
;
An LI
1
;
Zhao CHEN
1
;
Ning LIANG
1
;
Nannan SHI
1
;
Yanping WANG
1
Author Information
- Publication Type:Journal Article
- Keywords: clinical practice guidelines; rapid living guidelines; traditional Chinese medicine; evidence; recommendation
- From: Journal of Traditional Chinese Medicine 2024;65(3):281-286
- CountryChina
- Language:Chinese
- Abstract: The lack of direct evidence is an important problem faced in the formation of recommendations in rapid living guidelines of traditional Chinese medicine under public health emergencies, and the supplementation of indirect evidence can be a key method to solve this problem. For the collection of evidence, the type of evidence required, including direct and indirect evidence, should be clarified, and ‘direct first’ principle for selecting evidence can be set to standardize and accelerate the guideline development. When integrating evidence, recommendations can be formed directly if there is sufficient direct evidence, while regarding insufficient direct evidence, recommendations need to be supplemented and improved by integrating indirect evidence. In addition, when the body of evidence contains evidence from multiple sources, it is suggested to rate the evidence according to “higher rather than lower” principle. Finally, when forming recommendations, the level of evidence, safety and economic efficiency should be taken into consideration to determine the strength of the recommendation.